BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CARPENTIER-EDWARDS PERIMOUNT MAGNA AORTIC BIOPROSTHESIS

    MDR report key: 1040246 · Received May 7, 2008

    Report

    Report Number
    6000002-2008-07052
    Event Type
    Injury
    Date Received
    May 7, 2008
    Date of Event
    October 30, 2007
    Report Date
    October 3, 2007
    Manufacturer
    EDWARDS LIFESCIENCES
    Product Code
    LWR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE NOT RETURNED.

    Description of Event or Problem · 1

    REPORTEDLY, PT EXPIRED AFTER AN IMPLANT DATE OF 2007 DUE TO LIVER FAILURE AND SEPSIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARPENTIER-EDWARDS PERIMOUNT MAGNA AORTIC BIOPROSTHESIS REPLACEMENT HEART VALVE LWR EDWARDS LIFESCIENCES 3000TFX R07F1203

    Patients

    Seq Age Sex Outcome Treatment
    1 Death